tension headache

Question 1

What is a tension headache?

Answer 1

attacks of headache (usually bilateral) which are pressing or tightening in quality and of mild to moderate intensity lasting minutes to days

Question 2

associations- tension headache?

Answer 2

-stress
-depression
-alcohol
-skipping meal
-dehydration

Question 3

presentation- tension headache?

Answer 3

Bilateral non-throbbing headache
-episodic or chronic
-presing tingling quality
-mild to moderate
-absence N+V
-absence photophobia or phonophobia

Signs:
-associated tenderness of scalp muscles (as contraction is the primary source of pain)

Question 4

treatment- tension headache?

Answer 4

Simple anagesics (overuse can also cause headache)
Relaxation techniques
Hot towel over area
Reassurance

Question 5

A 21 year old woman presents to the GP with a headache, which she says has come and gone for months. Upon further questioning, she reveals that the headache is bilateral and feels “tight”. Neurological examination shows no physical abnormalities; however, her scalp muscles are tender on palpation. What is the most likely diagnosis?

Answer 5

tension headache